2011-12 ACE Teacher Coach Update

Please complete this survey by September 15, 2011. The information will assist in forming effective ACE Teams, as well as, confirm the roles and responsibilities of existing team members. Thank you for your support of Alternative Certification Educators through Broward's ACE Program.
Name: 


A red asterisk (*) indicates required questions.

  1. Are you currently assigned an ACE participant, rehired as Teacher of Record for the 2011/12 school year, and currently teaching in a Broward Public or Charter School?*
    Yes
    No


  1. If you responded "No" (stating you are not currently assigned an ACE teacher), are you interested in receiving an ACE assignment for the 2011/12 school year?

    Please note: If you responded "No" thank you for your service, you do not need to complete the rest of the survey. If you responded "yes" please continue the survey.
    Yes
    No


  1. Identify the year of your FL DOE Certification renewal.

    Please fax or pony a copy of your professional teaching certificate to Cynthia Fowler. Pony address: TLC/FAU or FAX: 954-236-1244
    Due Date: September 30, 2011


  1. Please provide your current mailing address to include:
    First/Last Name
    Street Address
    City, State Zip


  1. Identify the School Zones you are interested in servicing (consider travel distance from home and between schools).


  1. Identify the subject/certification area(s) and/or grade level(s) you have mentored in the past AND interested in mentoring for the 2011/12 school year.


  1. Please provide a primary phone number in which to contact you.


  1. Please provide a secondary phone number in which to contact you.


  1. Please provide your SBBC Personnel ID Number.


  1. Are you interested in participating in a Learning Community for 60 inservice points? If yes, please provided topics of interest.





Mrs. Fowler
Third Grade Teacher
Davie Elementary School
Davie, FL